Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionABSTRACTTitle: The connection between IBS and FODMAPsAuthor: Helena Hautamäki and Rebecka BertilssonSupervisor: Sofia KlingbergExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-10Background: IBS (Irritable Bowel Syndrome) is a functional gastrointestinal disorder, and is acommon disorder in the western population. The predominant symptoms are diarrhoea,abdominal pain, bloating, constipation, and excessive flatus. Today there are no evidence basedrecommendations concerning dietary factors for patients diagnosed with IBS, but recently certainfactors in the diet that seems to trigger the symptoms have been identified. These factors areshort-chain carbohydrates, Fermentable Oligosaccharides, Disaccharides, Monosaccharides, andPolyols (FODMAPS), which are not completely absorbed in the lumen.Objective: The purpose of this systematic review article is to examine whether there are anyevidence that a diet low in FODMAPs may induce improvement of symptoms in patientsdiagnosed with IBS.Search strategy: The literature search was performed in the databases PubMed, Scopus,Summon and Google Scholar. The keywords were ?Irritable bowel syndrome + FODMAPs?,?Irritable bowel syndrome + diet? and ?FODMAP and diet?.Selection criteria: The inclusion criteria were patients diagnosed with IBS between the ages 18and 69.

Nitrogen deposition leads to environmental damage in areas where the nitrogen deposition is high. Southwest Sweden receives an annual nitrogen deposition of up to 20 kg N/ha. Nitrogen that is not assimilated by the vegetation is accumulated in the soil, which may lead to nitrogen saturation and an elevated risk of nitrogen leaching. Nitrogen leaching from forest areas in southern Sweden has proven to be higher than from agricultural areas, which have been thought to be the main contributors to elevated nitrogen levels in rivers and lakes. The amount of nitrogen that leaches depends on the fraction of the total nitrogen in the soil that consists of nitrate, since nitrate is easily transported through the soil.

I Sverige är förekomsten av barn med ADHD (Attention-Deficit/Hyperactivity Disorder) i skolåldern ca 5 %, diagnosen är sex gånger vanligare hos pojkar än hos flickor. Huvudsymtomen består av uppmärksamhetsstörningar, impulsivitet och överaktivitet. Denna studie handlar om hur mammor till barn med diagnosen upplever sin vardag. Hur de ser på diagnosticeringen och bemötandet från sin omgivning. Studien bygger på intervjuer med fyra mammor som alla har söner med diagnosen ADHD som delar med sig av sina upplevelser av att vara förälder till ett barn med ett neuropsykiatriskt funktionshinder (NPF).Nyckelord:ADHD, diagnos, barn, föräldrar, upplevelse, stigmatisering.

When performing studies that test the reactions of horses in different situations, important information may be available about the horse?s reactivity level. With information from these tests, accidents and dangerous situations may be prevented. When the behaviours from tests are compared with race performance it may be possible to evaluate if some behaviours are more desirable at the race track than others. The aim of this study was to see if behavioural responses correlated with physiological parameters (heart rate, cortisol), the trainer?s opinions and actual race performance.

The global climate change affects the Arctic region the most. The decrease in arcticsea ice is one of the reasons why, it accelerates the warm-up of the region.To understand the changes in the Arctic climate, knowledge about what affects thechanges in the sea ice is necessary. One of these processes could be the relationbetween the extent of the sea ice and the concentration of sea salt aerosols in thearea.This work studies how a variation in the arctic sea ice extent affects theconcentration of sea salt aerosols at Barrow, Alaska. To do this aerosoldata, icedataand winddata has been analyzed over the years 1998-2007. The results shows that aseasonally variation in the sea ice extent affects large aerosols (1-10 ?m) whilesmaller aerosols (<1 ?m) doesn?t seem to be affected as much..

This essay is about two areas called Hackås and Myrviken, situated in the middle of Sweden around the lake Storsjön. In Hackås we can see traces after an early agrarian settlement, and in Myrviken we find Jämtlands largest concentration of ironmaking sites from around 400 AD. There are no clear evidence of the agrarian settlement in Myrviken, and only two ironmaking sites in Hackås. These two economies functioned at the same time, but were clearly separated. My purpose is to discuss if it was the farmers of Hackås who made iron in Myrviken, or if it was somebody else..

Aim Developmental Coordination Disorder Questionnaire 2007 (DCDQ'07) is an international survey tool based on parents' estimation of their child's motor coordination skills. The purpose of this study was to investigate the validity of a Swedish version of DCDQ'07 by finding out how the classification of Developmental Coordination Disorder (DCD) via DCDQ'07 is consistent with the classification of DCD via the motor impairment test, Movement ABC.MethodIn the context of a larger study, a Swedish translated version of the parent survey DCDQ'07 were sent to 4000 randomly selected families with children aged 8 - 10 years in Stockholm County. The classifications "DCD" or "NOT DCD" with cut-off values ??of 56 (9 years) and 57 (10 years) were applied. Forty families were selected from 410 registered responses.

GE Healthcare operates in Uppsala (Sweden) and develops systems, equipments and medium to purify medical substances. Discussions with the local authority concerning planed far-reaching changes and upgrades of the biological process techniques for sewage management, aroused the question about revising the terms of permit for the activity. Therefore it seemed necessary to evaluate a newly installed biological process technique, which is the background of this thesis. The evaluated biological treatment process was built in 2003 and consists of a biological reactor filled with moving bed carriers with a high surface area for biological growth. At the time of the project the biological wastewater treatment plant consisted of a flow equalization facility and two following parallel biological processes; a biological reactor with moving bed carriers and a tower trickling filter.The aim of this thesis was to survey the function of the biological reactor with respect to the reduction of organic matter.

During the past few years a vast amount of research has been done to increase the understanding of the complex ecosystem of the Baltic Sea. Modelling and simulations are important tools to increase knowledge of the system. A suitable model must be simple to use and the parameters and variables needed in the model must be easy to access.In this paper a dynamical mass-balance model, CoastMab, which is validated for smaller coastal areas, has been used to predict concentrations and transports of phosphorus in three large coastal areas - the Gulf of Finland, the Gulf of Gdansk and the Gulf of Riga. CoastMab uses ordinary differential equations to regulate inflow, outflow and internal flows. To reflect seasonal variations in temperature and different types of flows the model has a temporal resolution of a month.

The stability of railway embankment is essential for safe transport. In order to ensure safe transport, water should be allowed to freely drain. Furthermore, as the engine driver has to be able to see signs, and people working on the embankment are supposed to easily see flaws on the rails to ensure safety for the passing trains, plants should not be allowed to grow on the embankment. In Sweden there are 12 000 kilometers of railway tracks and 25?30 % of them are treated for weed control every year.

The quality of bread wheat is a large subject to study. The quality rests on two legs. The first one is the inheritance of specific characters, which can be influenced through plant breeding and type of cultivar. The other one is the environmental influences, such as crop rotation, nutrition, harvest and storage. The latter factors are possibly to affect through cultivation practices, while other factors are not possible to influence on for the grower, such as seasonal changes of weather and the soil content.

Attention Deficit/Hyperactivity Disorder, ADHD, förekommer hos ca 3-5% av barn i skolåldern och ca 2,5% hos vuxna. Forskning har visat på att personer med ADHD löper en större risk att hamna i drogmissbruk och ungefär 20?35% av de som har något missbruksproblem har ADHD. Syftet i detta examensarbete är att genom en litteraturstudie undersöka om medicinsk behandling är en bra behandlingsmetod för individer med ADHD och missbruksproblematik. Resultaten visar att ADHD-symptomen minskar.

WAD betyder whiplash associated disorder och har sin grund i en whiplashskada, som är en svårdiagnostiserad skada på nackpartiet.Whiplashskador har i västvärlden blivit en av de vanligaste skadornatill följd av trafikolyckor. De vanligaste symptomen är smärta i huvudoch nacke samt domningar och stickningar i olika kroppsdelar. Syftet med denna studie var att undersöka huruvida det finns någon skillnad i kognitiva funktioner mellan personer med WAD och personer utan denna skada (n = 20). Detta undersöktes med hjälp av en enkät och ett kognitivt testbatteri. Resultaten tyder på en signifikant gruppeffekt för sekundärminne vid omedelbar fri återgivning, F(1, 19) =4.48, p<.05.De övriga resultaten var inte statistiskt säkerställda men visade klara tendenser till att kontrollgruppen presterade bättre på samtliga kognitiva test..

In order to facilitate testing of anesthesia machines a patient simulator has been required by Maquet Critical Care AB. A patient simulator has been developed to reduce expensive and time consuming animal experiments and temporary lab arrangements. The patient simulator has been developed and designed to simulate human lungs with regards to anesthetic uptake, production of carbon dioxide and heating and moisturizing exhaled air.The system comprises a container and a test lung to simulate the volume and the dynamic of the human lung. The simulation of uptake of anesthetics has been implemented by pumping a fraction of the gas from the container through a bypass circuit with an active charcoal filter that adsorbs volatile anesthetics. The flow through the bypass circuit is generated by a pump and is controlled by a linear valve.The resulting performance of the patient simulator has fulfilled the requirements.

During the last few years the presence of high arsenic (As) concentrations in ground water has been of major concern both internationally and in Sweden. Much evidence has been reported about toxic effects caused by arsenic. The carcinogenic effects and the possibility to measure the toxic impacts at low concentrations made the World Health Organisation (WHO) to reduce the guideline value from 50 to 10 ?g l-1 in 1993. In Sweden the corresponding reduction was implemented in 2003. Several surveys in Sweden have shown that high arsenic concentrations may occur in ground water.